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Individual

CRYSTAL B ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
208 E UNAKA AVE, JOHNSON CITY, TN 37601-4626
(423) 926-0940
(423) 926-4202
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61160798
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001265612
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
27739
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61169907
WA

Other

Enumeration date
06/12/2020
Last updated
01/28/2022
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